Individual provider Active NPI

Larisa M. Mahns, PT

  • Physical Therapist
  • Kapolei, HI
National Provider Identifier
1851578272
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2341 Issued in HI
Practice address
1001 Kamokila Blvd
Suite 111 JCB
Kapolei, HI 96707-2014
Phone
(808) 674-9595
Fax
(808) 674-9696
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2341 HI Primary

Addresses

Primary practice location

1001 Kamokila Blvd
Suite 111 JCB
Kapolei, HI 96707-2014

Mailing address

1001 Kamokila Blvd
Suite 111 JCB
Kapolei, HI 96707-2014
Phone (808) 674-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2341HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warfighter'S Clinic Past Accepting new patients
Elam Sports, Inc Physical Therapist PastSince Sep 13, 2020 Accepting new patients
Elam Sports, Inc. Physical Therapist Past Accepting new patients
Hawaiian Rehabilitation Services Inc Physical Therapist PastSince Apr 1, 2010 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1851578272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "SUITE 111 JCB",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-674-9595",
            "fax_number": "808-674-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "SUITE 111 JCB",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-674-9595",
            "fax_number": "808-674-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHNS",
        "first_name": "LARISA",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.